NPI | 1528499845 |
---|---|
Entity Type | Organization |
Authorized Contact | ANGELA I UBA Owner/Medical Director 503-372-6123 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: OR MD151022) |
Enumeration Date | 2013-12-12 |
Last Update Date | 2014-02-06 |